NPIMap

Organization Active NPI

JKP Balance & Hearing Center, LLC

  • Audiologist
  • Decatur, GA
National Provider Identifier
1861662892
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003621 Issued in GA
Legal business name
JKP BALANCE & HEARING CENTER, LLC
Practice address
465 Winn Way
Suite 231
Decatur, GA 30030-1753
Phone
(404) 484-6305
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tysha Moana Powell, AU.D.
Title
Audiologist
Phone
(404) 484-6305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AUD003621 GA Primary

Addresses

Primary practice location

465 Winn Way
Suite 231
Decatur, GA 30030-1753

Mailing address

1270 Caroline St NE
Suite D120-355
Atlanta, GA 30307-2758

National Provider Directory

National Provider Directory

Locations

1270 Caroline St NE
Ste D120355
Atlanta, GA 30307

465 Winn Way
Ste 231
Decatur, GA 30030
Phone (404) 296-2060

495 Winn Way
Ste 210
Decatur, GA 30030
Phone (404) 963-1487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1861662892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CAROLINE ST NE",
            "address_2": "SUITE D120-355",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 231",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-484-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKP BALANCE & HEARING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TYSHA",
        "authorized_official_middle_name": "MOANA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "404-484-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.